Croakey

What does recession mean for health? And other questions

Continuing the theme of the previous post, Research Australia has also been looking into the impact of an economic crunch on the community’s health.

Their investigations raise concerns for the wellbeing of many vulnerable groups – especially in rural Australia – but also show there are many unanswered questions about the relationship between recession and health.

Dr Megan Keaney and Rebecca James from Research Australia, write:

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Starving America?

What does economic crisis mean for a country’s health? Hunger and hardship for the population’s most vulnerable, judging by the news coming out of the US.

Croakey’s North American correspondent, Dr Lesley Russell, writes:

“While an excellent discussion is underway on Croakey about the value of calorie labeling in tackling obesity, it has been shocking this week to confront front page news that the number of Americans who don’t have enough food is at an all-time high, largely as a consequence of the nation’s economic crisis.

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More breast, less hypocrisy please

Australia does a pretty woeful job of making sure babies get the best start to life – mother’s milk. A new national strategy aims to boost the uptake of breast feeding recommendations so that far more babies are still being breast fed at six months.

But Ron Batagol, a pharmacy and drug information consultant, says this will require us to examine some of our somewhat hypocritical attitudes towards breasts.

He writes:

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Let’s have some balance in breast cancer screening discussions

Reaction to the recent study suggesting breast cancer screening leads to significant over-diagnosis and unnecessary treatment has been, as you might expect, quite mixed.

Some of the most critical comments have come from breast cancer consumer advocates - overtones, perhaps, of how prostate cancer consumer groups have sometimes reacted to evidence about the potential harms of prostate cancer screening.

Now Hazel Thornton, an independent advocate for quality in research and health care in the UK, and an Honorary Visiting Fellow, Department of Health Sciences, University of Leicester, gives us another perspective. Thornton describes herself as having being “given the breast cancer label” as the result of undergoing mammographic screening in 1991.

She writes:

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Would calorie-counting menus help bust Oz girths?

As previously reported in Croakey below, there is a weight-busting move afoot in the US to introduce calorie-counting menus in chain restaurants. These have been in place in New York City since last year but may be more widely introduced.

Would such a move be useful and welcomed in Australia? Read on…
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Some hard truths about health care

Health reform is in the wind but perhaps it won’t really make the difference that is being sought unless it acknowledges and addresses some hard truths about health care.

That is the suggestion of this very interesting piece below from Patrick Bolton, who has long and diverse experience in the industry.  He has worked as a GP and hospital administrator in urban and rural Australia in several states and territories. He has researched and published in health data, information management and health systems evaluation. He is national vice-president of the Australian Hospitals and Healthcare Association, and Conjoint Associate Professor, School of Public Health and Community Medicine, University of NSW.

Bolton writes:

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Asbestos – the town that needs to leave its past behind

In the late 1800s, when the people of eastern Quebec realised the money that could be made from what was known locally as “cotton rock”, they decided to name their settlement after it. They never could have guessed what it might one day mean to come from a town called Asbestos.

All these years later, Canada is still mining, manufacturing and exporting asbestos.

At the American Public Health Association conference last week, a resolution (you can download it here) was passed calling for a global ban on asbestos mining, and manufacturing, and the export of asbestos containing products.

Canada received particular mention for continuing to export the stuff to developing countries while banning its local use, and also for blocking the inclusion of chrysotile asbestos in a list of hazardous substances requiring prior informed consent when exporting them under the Rotterdam convention.

But Dr Yossi Berger, an occupational health and safety expert with the Australian Workers’ Union, believes it’s time to shift the debate beyond bans, and to start looking at removing asbestos from buildings and anywhere else it may be putting lives at risk. He writes:

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Breast cancer screening gets an indepth examination

The study investigating over-diagnosis in breast cancer screening, as previously described at Croakey, is attracting widespread interest and discussion.

Andrew Penman, Chief Executive Officer of Cancer Council NSW, has been considering the complexities of the issues involved, and writes:

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Reads of the week

I know, I know – we’re all too busy, no time to read etc – but here are a few articles from recent times that are worth the effort, if you haven’t spotted them already. They cover everything from the health impacts of inequality to mental health, alcohol policy, and the ties that bind pharma and medicine.

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How many calories would you like with that order?

The health care reform bill in the US is so weighty that many people haven’t yet twigged that it contains a significant provision for those concerned about a healthy food supply and obesity. The provision would require anyone who operates chain restaurants or vending machines with more than 20 locations to provide a calorie count for each standard menu item.

Croakey’s North American correspondent, Dr Lesley Russell, has been investigating the history of calorie-counting menus, while a local obesity policy expert, Jane Martin, looks at whether such an option might be useful in Australia.

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